Thanks for writing to us.
Degenerative changes means age related wear and tear in the spine. End plate changes means body's response to the wear and tear by forming new bone such as osteophytes and sclerotic end plates. Also the spine ligaments gets hypertrophied which further compromise the space for the nerves. Concentric protrusion is type of disc prolapse
and annular tear means tear in the outer covering of the disc and this is always painful.
With this finding, we treat patient with medicine and physiotherapy